Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.05 / $19.95 / $35.48	Facility	26	$19.05	$19.95	$35.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $229.09 / $398.11	Professional		$177.83	$229.09	$398.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $33.88 / $74.13	Professional	26	$19.05	$33.88	$74.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $204.17 / $363.08	Professional	TC	$158.49	$204.17	$363.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $22.39 / $24.55	Professional	26	$17.38	$22.39	$24.55
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $169.82 / $169.82	Professional	TC	$169.82	$169.82	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $275.42	Professional		$158.49	$204.17	$275.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $30.90 / $72.44	Professional	26	$22.91	$30.90	$72.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $181.97 / $245.47	Professional	TC	$102.33	$181.97	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $524.81	Professional		$245.47	$302.00	$524.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $33.11 / $57.54	Professional	26	$25.12	$33.11	$57.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $269.15 / $467.74	Professional	TC	$223.87	$269.15	$467.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $263.03 / $446.68	Professional		$208.93	$263.03	$446.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $27.54 / $45.71	Professional	26	$21.88	$27.54	$45.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $234.42 / $398.11	Professional	TC	$186.21	$234.42	$398.11